J Korean Continence Soc.  2005 Jun;9(1):40-45.

Management of Voiding Dysfunction after Surgical Treatment of Female Stress Urinary Incontinence

• Han DS
• Gil G
• Shin JH
• So SM
• Youk SM
• Kim YW
• Lim JS
• Kim HS
• Sul CK
• Na YG

Abstract

PURPOSE
We studied the voiding dysfunction after surgical treatment of female stress urinary incontinence and diagnosis and treatment.
MATERIALS AND METHODS
Three hundred women with stress urinary incontinence underwent surgical procedure between January 1998 and December 2004. Ninety two patients(30.6%) experienced the postoperative voiding dysfunction. As the primary procedure for the management of postoperative voiding dysfunction alpha-blockers medication and clean intermittent catheterization(CIC) were performed. Then, hegar dilation and urethral pull-down procedure were performed as a secondary measure. For the patients who showed persistent obstructed symptoms, cutting of mesh or sling materials were performed. RESULTS: In 57 patients, symptoms improved by alpha-blockers medication and CIC. The others were received hegar dilation and urethral pull-down procedure, and 29 patients were improved. 6 patients were not controlled by conservative treatment, of which 3 patients underwent cutting of mesh or sling. De novo urgency was developed in 12 patients. Anticholinergics were taken, symptoms were diminished in 10 patients after 5 months of medication. CONCLUSION: Most voiding dysfunction after surgery may be effectively managed by conservative treatment. In cases of failure, hegar dilation and urethral pull-down procedure may be useful within postoperative first weak. Finally, cutting of mesh or sling must be considered in patient whose the secondary measure is failed.

Keyword

Voiding dysfunction; Surgery; Treatment; Stress urinary incontinence

MeSH Terms

Cholinergic Antagonists
Diagnosis
Female*
Humans
Urinary Incontinence*
Cholinergic Antagonists